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Descripción del Boarding en la fundación Santa Fe de Bogotá, en el primer semestre de 2018

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dc.contributor.advisorNavarrete, Norberto
dc.contributor.advisorMenéndez, Salvador
dc.creatorMartínez Moncada, Oscar Andrés
dc.creatorGuarín Núñez, Luis Felipe
dc.creator.degreeEspecialista en Medicina de Emergenciases
dc.creator.degreeLevelMaestría
dc.creator.degreetypeFull timees
dc.date.accessioned2021-10-12T01:48:41Z
dc.date.available2021-10-12T01:48:41Z
dc.date.created2020-10-07
dc.descriptionIntroducción: Se conoce como “boarding”, a la hospitalización de pacientes en el departamento de emergencias (DE) por la falta de disponibilidad de cama o habitación en las áreas de hospitalización. Este tipo de hospitalización trae consecuencias negativas a nivel de calidad y de desenlace de los pacientes Metodología: Estudio observacional, descriptivo, de cohorte histórico. El objetivo fue establecer la frecuencia y el tiempo de “boarding” en el HUFSFB, durante el período comprendido entre enero a junio de 2018. Se definió “boarding” como el tiempo de hospitalización mayor de 6 horas. Resultados: De 4.777 casos de hospitalización, 1,177 pacientes (24.6%) reúnen el criterio de “boarding”. La variable tiempo en “boarding” presenta una distribución asimétrica hacia la derecha (p<0.001). La mediana fue de 9.40 horas (RIQ. 7.195 - 14.138 hrs). Valor mínimo y máximo de 6.01 y 23.98 hrs respectivamente. La frecuencia de "boarding" aumenta significativamente a medida que disminuye la complejidad del paciente (p<0.001). No existen diferencias significativas ni en la frecuencia (p= 0.182) o tiempo (p= 0.187) de “boarding”, entre 6 diferentes categorías clínicas de diagnóstico. Enero fue el mes con menor frecuencia y tiempo de “boarding”. Conclusiones: Cerca de la cuarta parte de los pacientes hospitalizados por urgencias cumplen con el criterio de “boarding”. Las patologías con mayor frecuencia de "boarding" están relacionadas a medicina interna. Conocer las características de este fenómeno, permitirá hacer ajustes para mejorar la calidad de atención en los servicios de urgencias.es
dc.description.abstractIntroduction: It is known as “boarding”, the hospitalization of patients in the emergency department (ED) due to the lack of availability of a bed or room in the hospitalization areas. This type of hospitalization has negative consequences in terms of quality and the outcome of patients. Methodology: Observational, descriptive, historical cohort study. The objective was to establish the frequency and time of boarding in the HUFSFB, during the period from January to June 2018. Boarding was defined as hospitalization time greater than 6 hours. Results: Of 4,777 hospitalization cases, 1,177 patients (24.6%) meet the boarding criteria. The variable time in boarding presents an asymmetric distribution to the right (p <0.001). The median was 9.40 hours (IQR. 7,195 - 14,138 hrs). Minimum and maximum value of 6.01 and 23.98 hrs respectively. The frequency of "boarding" increases significantly as the complexity of the patient decreases (p <0.001). There are no significant differences in the frequency (p = 0.182) or time (p = 0.187) of boarding, between 6 different clinical diagnostic categories. January was the month with the least frequency and time for boarding. Conclusions: About ¼ of the patients admitted to the emergency room meet the boarding criteria. The most frequent pathologies of "boarding" are related to internal medicine. Knowing the characteristics of this phenomenon will allow adjusting to improve the quality of care in emergency services.es
dc.format.extent37es
dc.format.mimetypeapplication/pdfes
dc.identifier.doihttps://doi.org/10.48713/10336_32730
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/32730
dc.language.isospaes
dc.publisherUniversidad del Rosario
dc.publisher.departmentEscuela de Medicina y Ciencias de la Salud
dc.publisher.programEspecialización en Medicina de Emergencias
dc.rightsAtribución-NoComercial-CompartirIgual 2.5 Colombia*
dc.rights.accesRightsinfo:eu-repo/semantics/openAccesses
dc.rights.accesoAbierto (Texto Completo)es
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dc.rights.urihttp://creativecommons.org/licenses/by-nc-sa/2.5/co/*
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dc.source.instnameinstname:Universidad del Rosario
dc.source.reponamereponame:Repositorio Institucional EdocUR
dc.subjectCalidad de la atención de saludes
dc.subjectAtención de urgenciases
dc.subjectAdministración hospitalariaes
dc.subjectLista de esperaes
dc.subject.ddcPromoción de saludes
dc.subject.keywordCrowdinges
dc.subject.keywordHospitalizationes
dc.subject.keywordEmergency departmentses
dc.subject.keywordQuality of healthcarees
dc.titleDescripción del Boarding en la fundación Santa Fe de Bogotá, en el primer semestre de 2018es
dc.title.TranslatedTitleDescription of boarding at the Santa Fe de Bogotá foundation, in the first semester of 2018es
dc.typemasterThesiseng
dc.type.documentTrabajo de gradoes
dc.type.hasVersioninfo:eu-repo/semantics/acceptedVersion
dc.type.spaTesis de maestríaspa
local.department.reportEscuela de Medicina y Ciencias de la Saludspa
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